| NPI | 1144572215 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINA ZULUAGA Business Manager 813-223-2686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: FL AL12164) |
| Enumeration Date | 2012-10-12 |
| Last Update Date | 2012-10-12 |